Active NPI
3BG, Inc.
- Pharmacy
- Conway, AR
National Provider Identifier
1821335845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- 3BG, INC.
- Practice address
- 810 Amity Rd
Suite 101
Conway, AR 72032-5988 - Phone
- (501) 358-3863
- Fax
- (501) 358-3865
- NPI assigned
- Jan 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Curtis, RPH
- Title
- President
- Phone
- (501) 358-3863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | AR | Primary |
Addresses
Primary practice location
810 Amity Rd
Suite 101
Conway, AR 72032-5988
Mailing address
810 Amity Rd
Suite 101
Conway, AR 72032-5988
Phone (501) 358-3863
Other names 1
- AMITY ROAD PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140929001974 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133349913 | Practice locations: Conway, AR |
| O20200616001187 | AR | DME Supplier - Pharmacy | 9133349913 | Practice locations: Conway, AR |
| O20200623000232 | AR | Part B Supplier - Pharmacy | 9133349913 | Practice locations: Conway, AR |
National Provider Directory
National Provider Directory- Tax ID family
- 3BG Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Conway, AR
- NPI 1639857709
Locations
810 Amity Rd
Ste 101
Conway, AR 72032
Phone (501) 358-3863
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Conway, AR
- NPI 1588474613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1821335845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 AMITY RD",
"address_2": "SUITE 101",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325988",
"telephone_number": "501-358-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 AMITY RD",
"address_2": "SUITE 101",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325988",
"telephone_number": "501-358-3863",
"fax_number": "501-358-3865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3BG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-358-3863",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMITY ROAD PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.